Individual
SHAFALI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-6241
Mailing address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-00609
NC
Other
Enumeration date
01/08/2013
Last updated
02/12/2019
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